Volunteer to Mobilize the Muslim Vote

Are you seeking assistance for yourself or another individual?*

Self
Another individual

If you are seeking assistance for another individual, what is your relationship to the traveler?

Please fill in your information:

Name*

First Last

Email Address*

Phone Number*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Traveler's Information

Name*

First Last

Email Address*

Phone Number*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Where is the traveler coming from?*

Traveler's Country of Citizenship

Traveler's Immigration Status (if Visa, Specify Type of Visa)

US Citizen
US Legal Permanent Resident (Greencard Holder)
Visa

Type of Visa

Is this the traveler's first entry into the US?

Traveler's Port of Entry (Which airport or border crossing will the traveler be entering the US through?)

Traveler's date and time of entry

Traveler's airline and flight number

Is anyone else traveling with the traveler listed above? If so, please list their names, country of citizenship, and immigration status.

Would the traveler suffer immediate harm if not allowed into the US? If yes, please explain in detail.

Has the traveler had issues entering the US in the past?

Would you like to provide any additional details?

Have you contacted an attorney or other organization regarding your problem? If so, who, and when?

Have you contacted CAIR before? If so, why, and when?

How do you hope CAIR can serve you? Please check all that apply:*

Advice
Legal Representation
Referral
Reporting Only

How did you hear about CAIR’s services?*

Disclaimer

This form is for general information purposes only. The submission and delivery of this form does not, in and of itself, constitute the formation of an attorney client relationship between CAIR or any legal person, entity or group. Please be advised that, the submission and delivery of this form, does not thereby give rise to any of the legal or ethical protections of the attorney client relationship with respect to any legal privilege or ethical duty running between client and attorney, including without limitation, the attorney client privilege.

Travel Complaint Form

Please fill in your information:

Traveler's Information

Disclaimer